Jeremy Lee Hauret, DMD
Individual provider Active NPI Dentist · Saint Robert, MO
NPI 1326817396 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1326817396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2025002970 (MO)
- Practice address
- 316 Saint Robert Blvd
Saint Robert, MO 65584-3363 - Phone
- (573) 336-2536
- NPI assigned
- Jan 1, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025002970 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of Missouri, Richard Straus, D.M.D., P.C. | Current |
Accepting new patients |
Locations
316 Saint Robert Blvd
Saint Robert, MO 65584
Phone (573) 336-2536
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2025002970 | MO | Yes |
Addresses
Primary practice location
316 Saint Robert Blvd
Saint Robert, MO 65584-3363
Mailing address
20210 Hyatt LN
Saint Robert, MO 65584-9448
Phone (208) 240-1123
Other providers in Saint Robert, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.